Provider Demographics
NPI:1801820246
Name:HAYES, CHRIS STEVENSON (M D)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:STEVENSON
Last Name:HAYES
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 GIRARD WOODS RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2810
Mailing Address - Country:US
Mailing Address - Phone:337-482-5464
Mailing Address - Fax:337-482-6428
Practice Address - Street 1:U L L STUDENT HEALTH SERVICES
Practice Address - Street 2:120 BOUCHER ST.
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70504-3692
Practice Address - Country:US
Practice Address - Phone:337-482-5464
Practice Address - Fax:337-482-6428
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1920991Medicaid
LAF47218Medicare UPIN
LA1920991Medicaid